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连续血糖监测系统个性化选择标准:专家意见

Criteria for Personalised Choice of a Continuous Glucose Monitoring System: An Expert Opinion.

作者信息

Di Molfetta Sergio, Rossi Antonio, Boscari Federico, Irace Concetta, Laviola Luigi, Bruttomesso Daniela

机构信息

Department of Precision and Regenerative Medicine and Ionian Area, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, 70124, Bari, Italy.

IRCCS Ospedale Galeazzi-Sant'Ambrogio, Department of Biomedical and Clinical Sciences, University of Milan, 20157, Milan, Italy.

出版信息

Diabetes Ther. 2024 Nov;15(11):2263-2278. doi: 10.1007/s13300-024-01654-y. Epub 2024 Sep 30.

Abstract

Despite the growing evidence supporting the outpatient use of continuous glucose monitoring (CGM) for improving glycaemic control and reducing hypoglycaemia, there is a need for a detailed understanding of the specific features of CGM devices that best meet individual patient needs. This expert opinion, based on a comprehensive literature review and the personal perspectives of clinicians, aims to provide the healthcare professionals (HCPs) with a comprehensive framework for selecting CGM devices. It evaluates the current state of CGM technology, categorizing features into essential features, major drivers of choice, and additional/useful features. Moreover, the practical model presented outlines a patient's journey with CGM, emphasising the importance of aligning device features with patient needs. This includes understanding the patient's lifestyle, clinical conditions, and personal preferences to optimize CGM use and improve diabetes management outcomes.

摘要

尽管越来越多的证据支持门诊使用持续葡萄糖监测(CGM)来改善血糖控制和降低低血糖风险,但仍需要详细了解最能满足个体患者需求的CGM设备的具体特征。本专家意见基于全面的文献综述和临床医生的个人观点,旨在为医疗保健专业人员(HCPs)提供一个选择CGM设备的综合框架。它评估了CGM技术的现状,将特征分为基本特征、选择的主要驱动因素以及附加/有用特征。此外,所提出的实用模型概述了患者使用CGM的过程,强调了使设备特征与患者需求相匹配的重要性。这包括了解患者的生活方式、临床状况和个人偏好,以优化CGM的使用并改善糖尿病管理结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab49/11467157/8a2dce29dd1e/13300_2024_1654_Fig1_HTML.jpg

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